Individual
DR. VAN C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
114 W APACHE ST, FARMINGTON, NM 87401
(505) 326-2243
(505) 326-3527
Mailing address
114 W APACHE ST, FARMINGTON, NM 87401
(505) 326-2243
(505) 326-3527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1169
NM
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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